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APPLICATION FORM

Application Form

5 years address history is required. Include details of any short term or overseas accommodations.

 7.Current Address

8.Previous Address

How long do you live at your present address?

How long did you live at this address?

9.Previous Address

10.Previous Address

12.Nationality

15. Bank Details

16. In accordance with the Commission of Racial Equality’s Code of Practice please describe your ethnic origins (Circle as applicable).

African / Asian / Caribbean / Black / West Indian / Caucasian / Other (Please specify)

17. Marital Status
Married
Single
Divorced
Separated
Widow

19. Next of Kin Details

20. Have you ever been fined, imprisoned, placed on probation, discharged on payment of costs, or had any order made against you by a criminal, civil or military court or public authority (exclude minor motoring offences)?

yes or no
YES
NO

If yes, please provide details:

21. Do you have any outstanding alleged offences?

yes or no
YES
NO

If yes, please provide details:

22. Do you have any relatives working in the company?

yes or no
YES
NO

If yes, please provide details:

23. Have you previously applied for or obtained a position in the company?

yes or no
YES
NO

If yes, please provide details:

24. Do you own a motor vehicle or motorcycle?

yes or no
YES
NO

If yes, please provide details:

Do you possess a full, clean UK driver’s licence?

Issue Date of Licence:
Date of Expiry:

Give details of any endorsements or other motoring convictions during the last 5 years:

Dates
26. Do you possess First Aid Certificate?
YES
NO
Do you possess Fire Health and Safety Certificate?
YES
NO

28. PERSONAL REFERENCES

Please give details of two people, other than family and not connected with your school, college, or your employment, who have known you for at least 5 years, whom we may approach for character references.

29. EMPLOYMENT HISTORY

Date:

Record your employment history. Include details of any self-employment, unemployment, military service, and part-time work. Be sure to give full addresses and dates, service/payroll numbers, branch, trade, or regiment.


If there are any periods of unemployment, give the address of the unemployment benefit office to which you reported.


Give details of your present or most recent employment first, and then your preceding employment and so on, finishing with your earliest job (go back 5 years (20 years CIT) or to your school leaving dates).

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Thanks for submitting!

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